Nursing 104 VATI Remediation- Los Angeles City College
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1/ List three (3) best practices to prevent injury when moving a client up in bed.
- Lower the head of the client so that it is flat or as the client tolerate¸ this action will avoid shearing and
the client does have to move against gravity.
- Raise the bed to a comfortable working height. raise the height of the bed to move it close to your
center of gravity and reduce the strain on your back.
- Grab the slide sheet or draw sheet at the patient's upper back and hips on
the side of the bed closest to you. Put one foot forward as you prepare to
move the patient. Put your weight on your back leg. On the count of three,
move the patient by shifting your weight to your front leg and pulling the sheet
toward the head of the bed.
If you can, raise the bed to a level that reduces the strain on your back.
Make the bed flat.
Roll the patient to one side, then place a half rolled-up slide sheet or draw
sheet against the person's back.
Roll the patient onto the sheet and spread the sheet out flat under the person.
Make sure the head, shoulders, and hips are on the sheet.
Grab the slide sheet or draw sheet at the patient's upper back and hips on the
side of the bed closest to you. Put one foot forward as you prepare to move
the patient. Put your weight on your back leg. On the count of three, move the
patient by shifting your weight to your front leg and pulling the sheet toward the
head of the bed.
You may need to do this more than once to get the person in the right position.
2/ List steps the nurse will take to administer a vaginal suppository.
The nurse will wash her hands with soap and water.
The nurse will apply a water-soluble lubricant to the patient's vaginal opening.
The nurse will insert the suppository into the patient's vagina using a gloved finger.
The nurse will ask the patient to hold the suppository in place for a few minutes to
prevent it from falling out.
The nurse will remove her gloves and wash her hands with soap and water.
3/ nurse is caring for a client who has a tracheostomy. Identify how often oral care should be completed
for this client and the reason why.
,Nurses provide tracheostomy care for clients with new or recent
tracheostomy to maintain patency of the tube and minimize the risk for
infection (since the inhaled air by the client is no longer filtered by the
upper airways). Initially a tracheostomy may need to be suctioned and
cleaned as often as every 1 to 2 hours. After the initial inflammatory
response subsides, tracheostomy care may only need to be done once
or twice a day, depending on the client.
Oral care should be completed every four hours for a client with a tracheostomy. This
is necessary to prevent the build-up of secretions and to keep the mouth and throat
moist.
Explain the steps
involved in providing an
intermittent enteral
feeding.
The nurse will first verify
the prescription. After
verification, the nurse will
set up the equipment
which include the feeding
bag, tubing 30 to 60 mL
syringe, stethoscope, pH
indicator strip,
, infusion pump,
appropriate enteral
formula, irrigating
solution, clean gloves,
supplies for blood
glucose, and suction
equipment. The nurse will
then check the formula’s
expiration dates and
content, ensuring the
formula is at room
temperature. The nurse
will set up the feeding
system,
mix the formula into the
container, prime the
, tubing and clamp it. The
nurse will then place the
patient in Fowler’s
position or elevate the
head of the bed to 30
degrees. Once complete,
the
nurse will auscultate
bowel sounds, and
monitor tube placement
by checking gastric
contents of
pH, aspirate for residual
volume, and inspect the
appearance of the
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